Health Financing, Equity and Poverty in Latin America

Private funding - including out-of-pocket expenditure - is a considerable source of health financing in Latin America, where families can face economic ruin from catastrophic health expenses. Health system reforms have occurred at different times in various Latin American countries over the past few decades. Health financing has been a key entry point of reform initiatives in Chile, Colombia and Mexico. Costa Rica has a unique social insurance system that has succeeded in preventing catastrophic expenditure, but has been little studied. In Argentina, Brazil and Peru, healthcare reform has been implemented in more fragmented ways.

This grant will support in-depth studies and a comparative analysis of health financing in the aforementioned seven countries, highlighting how particular policies have affected health spending at the household level. Researchers will draw out lessons that may be of use to other countries in Latin America and the Caribbean, as well as other developing regions of the world.

Project ID


Project status


Start Date

Monday, July 2, 2007

End Date

Saturday, July 2, 2011


30 months

IDRC Officer

Ingabire, Marie-Gloriose

Total funding

CA$ 985,300


North and Central America, South America, Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico, Peru


Maternal and Child Health

Project Leader

Dr. Felicia Knaul


Fundación Mexicana para la Salud

Institution Country


Institution Website